Scholarship Application Form

Your application will not be considered unless it is accompanied by a copy of your unconditional offer letter.
All information requested below must be provided.
Applications should be legible: e.g. typed or word-processed, signed and dated.
Applications received after the closing date will not be considered.
No FAXES be accepted so please ensure you post in ample time to meet the deadline.

I am applying for the following scholarship:__________________________________________________

Section One: Personal Details

Family Name
First Name(s)
Nationality MALE FEMALE
Date of birth
Address

Telephone + fax no.

Email address
Student Admissions
ID number
Course name
Start month and year
(ie Feb 2009)
IELTS score: (attach copy of certificate)

Section Two: Academic Qualifications

(Please attach supporting documentation eg. certificates, transcripts, etc. – good photocopies are acceptable)

Institution Qualification Year Grade %

Extra-Curricular activities:
Section Three: Work experience (including any voluntary work done)

Organisation/Company name and address Responsibilities Dates Title

Section four: Personal Statement

Applicants are judged on academic merit and on the likely economic/social benefit to their home country of
them doing a degree in the UK. Please describe how you believe that your past work, study and other
activities meet these criteria. If necessary, continue on a separate sheet.

Checklist (please tick once completed) YES

I have completed all sections of the application form myself

I have attached a copy of my unconditional offer letter
I have attached supporting references/documentation (originals can not be returned)

I have read and understood all the guidelines, terms & conditions stated on the website

Section Four : Declaration

I certify that all information provided in this application is true and that I have completed all sections myself.

Signature: __________________________________ Date: _____________________

Please note: Results will be published on our website and only successful applicants will be notified of the Scholarship
panel’s decision. Please ensure you post in ample time to meet the deadline and send completed, signed form and
accompanying documents to

Scholarships
International Office
166-220 Holloway Road
London N7 8DB
United Kingdom

Thank you and Good Luck.